| NPI | 1033502760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC53532) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 5745547-3902) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |